Waseel Connect-Nphies
All waseel Connect issue and FAQ
Those claims which are rejected by insurance company fall under this status. Upon selection of “Rejected by Payer”, provider will get list of all Rejected b...
Mon, 29 Apr, 2024 at 4:21 PM
If the total number of claims differs between the BI report and Waseel Connect, Please follow the below: * Select the date range from the 1st of the curr...
Mon, 29 Apr, 2024 at 4:16 PM
Pre-authorization transaction can be sent to PBM (Pharmacy Beneficiary Management) for clinical validation. Only Medication Codes type of product o...
Sun, 28 Apr, 2024 at 4:06 PM
Pre-authorization transaction can be sent to MRE (Medical Rule Engine) for clinical validation. Only following types of product or services are covered for ...
Sun, 28 Apr, 2024 at 4:03 PM
Status is the latest outcome from either from NPHIES (as queued and error) or Adjudication Outcome from Payer (as pended, rejected, approved, parti...
Sun, 28 Apr, 2024 at 4:02 PM
By using search feature healthcare provider will get quick access to all previously raised pre authorization transactions with multiple filter options. ...
Sun, 28 Apr, 2024 at 4:01 PM
To perform Request EBP Pharmacy Pre-authorization Transaction, you need to follow below mentioned steps: - Step 1: Navigate to NPHEIS -> Pre Authoriz...
Sun, 28 Apr, 2024 at 4:00 PM
This feature enables Health insurance company to send the Advanced Authorization (Approval) to the healthcare providers without receiving an authorization r...
Sun, 28 Apr, 2024 at 3:58 PM
Under this feature, we are enabling provider now to send Pre-Auth request to Center for National Health Insurance (CNHI) under GlobeMed TPA via NPHIES to su...
Sun, 28 Apr, 2024 at 3:58 PM
The healthcare provider can edit a specific service from an already submitted authorization request. Through this functionality, the authorization will be s...
Sun, 28 Apr, 2024 at 3:56 PM